NCLEX Practice Question of the Week

Here is the weekly question posted on the NCSBN Learning Extension:

A nurse is caring for a client with active tuberculosis and has a history of noncompliance. Which of these actions by the nurse would represent appropriate care for this client?

1. Instruct the client to wear a high efficiency particulate air mask in public places.
2. Ask a family member to supervise daily compliance
3. Schedule weekly clinic visits for the client
4. Ask the health care provider to change the regimen to fewer medications

NCLEX Practice Question of the Week

Here is the weekly question posted on the NCSBN Learning Extension:

A pregnant client who is at 34 weeks gestation is diagnosed with a pulmonary embolism (PE). Which of these medications should a nurse anticipate the health care provider will order?

1. Oral Coumadin therapy every other day
2. Heparin 5000 units subcutaneously BID
3. Heparin infusion to maintain the PTT at 1.5 to 2.5 times the control value
4. Heparin by subcutaneous injection to maintain the PTT at 1.5 times the control value

NCLEX Practice Question of the Week

Here is the weekly question posted on the NCSBN Learning Extension:

A nurse is teaching a client about precautions with Coumadin therapy. The client should be instructed to avoid which over-the-counter medication?

1. Non-steroidal anti-inflammatory drugs (NSAIDs)
2. Cough medicines with guaifenesin
3. Histamine blockers
4. Laxatives containing magnesium salts

NCLEX Practice Question of the Week

Here is the weekly question posted on the NCSBN Learning Extension:

A nurse is caring for a client with a deep vein thrombosis. Which finding would require the nurse’s immediate attention?

1. Temperature of 102 F
2. Pulse rate of 98 bpm
3. Respiratory rate of 32r
4. Blood pressure of 90/50

Take Note

When you are cleaning out your patient’s puke bucket in the bathroom, make sure you shut the door to spare those walking by of the smell. Also, try to muffle the gagging noises as you measure the emesis, note the color, dump and then clean everything. The patient probably didn’t hear, but it’s still not nice.

A Quick Word on Med-Surg 1

I think it’s a lot more about making good guesses than studying everything.

After the last month of doing hardly anything, going back to the old structure of learning proved to be difficult. My head is so not into it right now, and I find that I have to push myself to study. Our first test was on Musculoskeletal and Immune systems. I flew through the MS stuff, but I started to lose focus with the immune system. It was just so many numbers to remember and drugs and which tests to watch for… I finally said screw it. I walked into that test knowing the answers to less than half of them, and guessing on all the rest.

Woohoo! Passed!

The second exam, which covered Cardiovascular and GI, was more of the same- forcing myself to study only to give up the weekend before the test. Answered what I definitely knew… guessed on all the rest.

Woohoo! Pass #2!

This does not mean I will the very same for exam three. I got out of clinical extra early today, so perhaps it would be a good idea to knock out the first half of the info for the test. Everyone else in my clinical group seems to do that- keep their notes under the patient’s chart and study study study.

Overheard

“How would you describe the color?”

“Oh, I’d say it’s about… armpit gray.”

NCLEX Practice Question of the Week

Here is the weekly question posted on the NCSBN Learning Extension (it looks like they redesigned their website):

A nurse is caring for a client who is diagnosed with asthma and has developed gastroesophageal reflux disease (GERD). Which of these medications prescribed for the client may aggravate GERD?

1. Anticholinergic
2. Corticosteroid
3. Histamine blocker
4. Antibiotic

I’m Letting It Get To Me

Today was our first clinical day for Med-Surg.

What can I say about it.

Nothing. Because we did a whole lot of nothing today. Yes, I understand we need to be oriented to the unit. But we are still capable of doing some things with our patients. Standing around doing nothing is a big waste of everyone’s time.

Hopefully tomorrow will be better. It better be better… or I will be one pissed off nursing student for the next few weeks.

Thank goodness for friends. I went out with one for dinner tonight and I may have convinced him to consider going into nursing! He’s going to stop by the school and talk to the ABSN program director about applying.

NCLEX Practice Question of the Week

Here is the weekly question posted on the NCSBN Learning Extension:

A nurse is providing instructions for a client with asthma. Which of these factors should the client monitor on a daily basis as a priority?

1. Respiratory rate
2. Peak air flow volumes
3. Pulse oximetry
4. Respiratory effort